Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $4.76 / $10.18	Facility		$3.88	$4.76	$10.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.88 / $3.88	Professional		$3.15	$3.88	$3.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $4.59 / $5.52	Facility		$3.88	$4.59	$5.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.82	Professional		$3.88	$3.88	$4.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $13,785.00 / $13,785.00	Facility		$3.78	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.30	Professional		$3.88	$3.88	$4.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.01 / $4.55	Professional		$3.80	$4.01	$4.55